Issue: 2021, Vol. 26, No. 1

D. S. Varentsov, D. N. Klimin, D. N. Gerasimov, V. F. Kulagin, A. S. Modin, О. V. Lishchenko, О. V. Karpova, I. V. Kirpichyov

EXPERIENCE OF SOFT TISSUES REPAIR IN SEVERE INJURIES OF LOWER LIMBS

Keywords: lower limbs repair, muscular flap.
Abstarct: Actuality. Severe injuries of lower limbs which are attended by soft tissue defects are the most actual problems of modern accident surgery. Objective – to estimate the results of patients’ treatment after soft tissue defect repair in lower limbs. Material and methods. The nearest and remote (in 6 ± 1,5 years) results of the treatment in 23 patients who undergone operations of soft tissue defect repair in lower limbs in microsurgery unit of Ivanovo regional hospital for war veterans were analyzed. Results and discussion. There were no complications in the postoperative period in the most cases – in 14 patients (60,9 %), purulence and transplanted flap necrosis were observed in the rest patients. 17 operated patients were observed. By AOFAS scale (Kitaoka) the remote results were found to be excellent in 4 patients, to be good – in 8 patients, to be satisfactory – in 5 patients. Flaps were engrafted in all cases, neurotrophic disorders were absent (flap ulceration without cicatricial degeneration), lower limb support ability was not disordered. Our experience testified to high effectiveness of flap application for lower limb plastics including foot support surface.

BULLETIN
of the Ivanovo Medical Academy^{ISSN 1606-8157}